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I use water filled therapeutic phlebotomy bags as we do not expire out product (we are a smaller facility and send RBCs back to our supplier) I place a thermometer in the cooler and label all of the units with our hemotemp stickers. I check the units every hour for 4 hours. I have determined that 3 of our frozen packs last about 5 hours before the blood hemotemp stickers turn too warm. So we use 4 hours as our time frame. We hardly use coolers though. Maybe every once in a while we will send a unit with a helicopter.
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We use a biohazard bag. It hasn't ever crossed my mind what kind of bag we use! I just order the size I need. haha
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We are a small hospital. We were cited for this a few years ago by the Joint Commission and were kind of shocked. Several years before that they asked us for our daily Qc on our panels. We never did QC on panels we only QC'ed the method (gel or tube) with screen cells. (our reference lab was confused with QCing panel cells as well, I mean what antibody to you QC? all? 2? 3?) So we had to start doing on receipt QC and every day of use and we can no longer use outdated panels. I just use the Ortho antibody in the QC kit and test Cells 1 and 5 (pos and neg for D and little c) We currently stock a panel for tube and gel. If we can't rule out based on those 2 we need to special order blood or send the specimen out. I am not really sure what the pathologist can or can't sign off on as far as validating anything as far as using outdated cells. Since you are a larger facility maybe see what your reference lab does.
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MTP and Emergency release is a verbal phone call to the blood bank with a signed form during the event. Routines need an order faxed from the provider or orders placed into Epic. Happy New Year!
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So our sister lab was cited last week (September 2022) by TJC for not QCing panel cells. That lab had at one time been a branch of a reference lab so of course they never QC'ed panel cells for reasons given above. We are arguing back that it is a procedural QC process that we would never do a panel if the screen was negative. So if they don't react when they expect them to then we do other processes. (ie repeat, check for gel junk/misc reactivity in the screen, run it on tube, etc). Our lab does QC our panels on receipt (because a TJC surveyor told us to years back) to make sure they are reactive, but we currently do not Qc them every day of use. And the IFU now states that we need to look at our "regional and national guidance, standards, regulations and professional preferences. and Each lab must develop specific procedures..." All AABB states is to have a QC policy that works basically. I told our manager to ask them exactly what they want. (I am sure every surveyor will be different, and we may just have to satisfy them with the smoke and mirrors QC unfortunately.)
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I cannot even begin to imagine. I am so sorry. I would hope for the scanning too.
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A few of our newer employees state that their previous employers had required this, but I had never heard of this. We were trained by our ortho rep back in 2005 or so to pipette straight up and down for both reagent cells and plasma. My question is since many labs are automated for blood bank now, how do the analyzers pipette the samples. Is there an air gap in the testing with the Provue or the Vision?
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She an oncology patient who gets regular transfusions. She was just unfortunate to get Flu B this year. We have been transfusing her for years.
